Jane Wick, LPC
Individual provider Active NPI Professional Counselor · Timpson, TX
NPI 1780855809 · NPPES record last updated Mar 17, 2008
Key facts
- NPI
- 1780855809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 12107 (TX)
- Practice address
- 689 County Road 4855
Timpson, TX 75975-5327 - Phone
- (936) 254-9556
- NPI assigned
- Mar 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12107 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12107 | TX | Yes |
Addresses
Primary practice location
689 County Road 4855
Timpson, TX 75975-5327
Mailing address
689 County Road 4855
Timpson, TX 75975-5327
Phone (936) 254-9556
Other providers in Timpson, TX
- Keira Dawn Therwhanger
- Timpson Isd
- Timpson Volunteer Ambulance Service, Inc.
- Shelby Morgan Tullos
- Daniel T Wick
All providers in Timpson, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.